单孔腹腔镜切口疝修补术：在巨大疝中是否可行？三例报告
SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases.
作者信息
Barbaros Umut, Demirel Tugrul, Sumer Aziz, Deveci Ugur, Tukenmez Mustafa, Cansunar Mehmet Ibrahim, Kalayci Murat, Dınccag Ahmet, Seven Ridvan, Mercan Selcuk
机构信息
Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, 34452 Istanbul, Turkey.
出版信息
Diagn Ther Endosc. 2011;2011:387040. doi: 10.1155/2011/387040. Epub 2011 Aug 11.
Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The patients were mobilized and led for oral intake at the first postoperative day. No morbidity occurred. Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers.
目的。通过2厘米的单一切口放置一块20×30厘米的复合补片，修复三例腹前壁切口疝。方法。所有三例患者均有既往手术史，临床上表现为巨大切口缺损。通过单一切口腹腔镜下放置一块20×30厘米的复合补片修复缺损。仅第一例需要使用不可吸收缝线悬吊并固定补片。所有病例均采用双冠技术将补片固定于腹前壁。结果。平均手术时间为120分钟。患者术后第一天即可活动并开始经口进食。未发生并发症。结论。在经验丰富的中心，腹前壁切口疝可通过单一切口应用补片进行修复。
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